The nation’s chief doctor says no state has come farther in fighting the opioid epidemic than New Hampshire.

U.S. Surgeon General Jerome Adams spoke Friday at a daylong conference focused on how the crisis has affected children and families in the state with the nation’s second highest rate of opioid-related overdose deaths. Sharing stories about his own family, he said stigma and ignorance are the biggest obstacles to ending the crisis.

But he said the most progress is being made in places that embrace unconventional partnerships and the widespread use of overdose reversal drugs.

Adams recently released a “digital postcard” about preventing opioid misuse, which he compares to a pamphlet about AIDS that former Surgeon General C. Everett Koop sent to every household in the 1980s.